Healthcare Provider Details

I. General information

NPI: 1003845140
Provider Name (Legal Business Name): CAPITOL HOME HEALTH,INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2006
Last Update Date: 09/06/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

56 N MAIN ST ROOM 302
FALL RIVER MA
02720-2132
US

IV. Provider business mailing address

56 N MAIN ST ROOM 302
FALL RIVER MA
02720-2132
US

V. Phone/Fax

Practice location:
  • Phone: 508-679-2116
  • Fax: 508-730-1639
Mailing address:
  • Phone: 508-679-2116
  • Fax: 508-730-1639

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number0607088
License Number StateMA

VIII. Authorized Official

Name: MRS. ERLINDA RAMOS RAVENSCROFT
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 508-679-2116